Madison Nicole Rich, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4845 Weitzel St
Timnath, CO 80547-4800

Phone

(970) 267-9510

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1285356048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 AVENUE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023531",
            "telephone_number": "253-590-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 WEITZEL ST",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474800",
            "telephone_number": "970-267-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilu Orozco-Peterson, M.D
• Pediatric Urgent Care of Northern Colorado
• Andrea Philop, RPH
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Sheila Purcell, FNP-C
• Erica L. Roesch, NP
• Rose Counseling Services
• Becky C Rose, AG-ACNP
• Shannon Salerno, MD
• Angelina Marie Sciacca, MOT, OTR/L

• Medical Physician Assistant in Timnath, CO
• Providers in Timnath, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.